Int J Environ Res Public Health. 2021 Nov 15;18(22):11992. doi: 10.3390/ijerph182211992.ABSTRACTBACKGROUND: The COVID-19 pandemic outbreak has severely affected healthcare organizations worldwide, and the provision of palliative care (PC) to cancer patients has been no exception. The aim of this paper was to analyse the levels of health care provided by the Clinical Management Unit for PC in Córdoba (Spain) for cancer patients.METHOD: a retrospective cohort study was conducted. It analyzed the PC internal management database including all cancer patients treated in the period of 2018-2021.RESULTS: 1967 cases were studied. There was a drop in cancer cases (p = 0.008), deaths…
Origen: Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain – PubMed

BMC Palliat Care. 2021 Nov 25;20(1):182. doi: 10.1186/s12904-021-00880-6.ABSTRACTBACKGROUND: We investigated the need for additional professional support and associated factors in patients (pts) at initiation and in the course of in- and outpatient specialist palliative care (I-SPC/O-SPC).METHODS: Pts entering an urban SPC network consecutively completed questionnaires on psychosocial/spiritual problems and support needs within 72 h (T0) as well as within the first 6 weeks (T1) of SPC. Hierarchical linear regression analysis was used to investigate the impact of sociodemographic / disease-related variables, psychological / physical burden, social support, and SPC setting on the extent of support needs.RESULTS: Four hundred twenty-five pts…
Origen: Need for additional professional psychosocial and spiritual support in patients with advanced diseases in the course of specialist palliative care – a longitudinal observational study – PubMed

BMC Palliat Care. 2021 Nov 25;20(1):181. doi: 10.1186/s12904-021-00879-z.ABSTRACTBACKGROUNDS: Early integration of palliative care for terminally ill non-cancer patients improves quality of life. However, there are scanty data on Palliative Care Consultation Service (PCCS) among non-cancer patients.METHODS: In this 9-year observational study Data were collected from the Hospice-Palliative Clinical Database (HPCD) of Taichung Veterans General Hospital (TCVGH). Terminally ill non-cancer patients with 9 categories of diagnoses who received PCCS during 2011 to 2019 were enrolled. Trend analysis was performed to evaluate differences in categories of diagnosis throughout study period, duration of PCCS, patient outcomes, DNR declaration, awareness of disease by patients…
Origen: Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study – PubMed

Praxis (Bern 1994). 2021 Nov;110(15):866-871. doi: 10.1024/1661-8157/a003779.ABSTRACTCompassionate Cities: Strengthening Social Resources in Communities for Mutual Support at the End of Life Abstract. People at the end of life often wish to remain at home for as long as possible. To make this possible to a greater extent, not only health professionals who accompany those affected and their relatives are needed, but also educational programmes to strengthen health literacy at the end of life. Within the framework of the project «Compassionate City Lab of the Bernese People», experiences in dealing with the end of life were collected and published, and a…
Origen: Compassionate Cities: Strengthening Social Resources in Communities for Mutual Support at the End of Life – PubMed

Praxis (Bern 1994). 2021 Nov;110(15):872-878. doi: 10.1024/1661-8157/a003782.ABSTRACTDelirium Management in Palliative Care Abstract. Delirium is one of the most common neuropsychiatric complications in patients with advanced incurable disease. End-of-life delirium is common but is often overlooked, undiagnosed or incorrectly diagnosed/untreated. Delirium should also be treated in a palliative situation – as far as possible – because persistent delirious states increase the patient’s fragility, limit physical functionality and shorten the lifespan. In addition, acute states of confusion trigger high levels of distress in affected patients and their relatives, impair the quality of life and a dignified dying process. While hallucinations and visions…
Origen: Delirium Management in Palliative Care – PubMed